Ercp remove duct calculi 43264 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$11,375.65
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$17,501.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $17,501.00 with The Health Plan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Preferred | $220.15 | ↓ -98% |
| Summacare | Medicare Advantage Lower Level | $220.15 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $234.23 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $287.89 | ↓ -97% |
| Cigna | Medicare Advantage | $312.31 | ↓ -97% |
| Aetna | Medicare Advantage | $312.31 | ↓ -97% |
| United | Medicare Advantage | $312.31 | ↓ -97% |
| Humana | Medicare Advantage HMO | $312.31 | ↓ -97% |
| The Health Plan | Medicare Advantage | $312.31 | ↓ -97% |
| Anthem | Medicare Advantage | $312.31 | ↓ -97% |
| MMO | Medicare HMO & PPO | $321.68 | ↓ -97% |
| Summacare | Medicare Advantage MD | $321.76 | ↓ -97% |
| Summacare | Premier | $327.93 | ↓ -97% |
| CommuniCare | Medicare Advantage | $327.93 | ↓ -97% |
| Perennial Health | Medicare Advantage | $337.29 | ↓ -97% |
| The Health Plan | All Products PCP | $343.54 | ↓ -97% |
| United | Managed Medicaid | $352.96 | ↓ -97% |
| The Health Plan | All Products Specialty Physicians | $359.16 | ↓ -97% |
| Caresource | Managed Medicaid | $363.55 | ↓ -97% |
| Buckeye | Managed Medicaid | $370.61 | ↓ -97% |
| Molina | Managed Medicaid | $388.26 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $388.26 | ↓ -97% |
| The Health Plan | All Products Radiation Oncology Physicians | $406.00 | ↓ -96% |
| Anthem | All Products Mid-Level Non-Facility | $480.03 | ↓ -96% |
| The Health Plan | PPO | $702.45 | ↓ -94% |
| Oscar | All Products | $741.21 | ↓ -93% |
| United | All Products - Mid-Level | $797.72 | ↓ -93% |
| United | All Products | $886.35 | ↓ -92% |
| United | HMO & PPO | $886.35 | ↓ -92% |
| Aultcare | PPO/HMO | $1,044.29 | ↓ -91% |
| OHCP | All Products | $1,134.71 | ↓ -90% |
| OMAS | All Products | $1,458.50 | ↓ -87% |
| PHPHI | All Products | $1,750.20 | ↓ -85% |
| MMO | Traditional | $2,041.90 | ↓ -82% |
| GMS | All Products | $2,041.90 | ↓ -82% |
| Aetna | All Products First Health | $2,187.75 | ↓ -81% |
| Immergrun | All Products | $2,187.75 | ↓ -81% |
| Aetna | Asa | $2,333.60 | ↓ -79% |
| Multiplan | All Products | $2,625.30 | ↓ -77% |
| ANTHEM | HPN | $2,892.00 | ↓ -75% |
| Aetna | Qhp/Ifp | $2,917.00 | ↓ -74% |
| ANTHEM | Exchange | $3,062.00 | ↓ -73% |
| The Health Plan | MEDICARE ADVANTAGE | $3,163.78 | ↓ -72% |
| ANTHEM | PPO/HMO | $3,402.00 | ↓ -70% |
| CIGNA | ALL PRODUCTS | $3,465.00 | ↓ -70% |
| HUMANA | Medicare Advantage HMO | $3,515.31 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $3,515.31 | ↓ -69% |
| ANTHEM | MEDICARE ADVANTAGE | $3,647.57 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $3,647.57 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $3,647.57 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $3,757.00 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $3,796.53 | ↓ -67% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $3,829.95 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,939.38 | ↓ -65% |
| AETNA | International | $4,001.00 | ↓ -65% |
| OSCAR | ALL PRODUCTS | $4,949.28 | ↓ -56% |
| UNITED | ALL PRODUCTS | $5,553.00 | ↓ -51% |
| PHP | ALL PRODUCTS | $5,600.32 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $5,600.32 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $5,915.34 | ↓ -48% |
| MMO | SuperMed | $6,539.01 | ↓ -43% |
| Summacare | PREMIER | $6,685.38 | ↓ -41% |
| MMO | ALL PRODUCTS | $7,646.27 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $7,875.45 | ↓ -31% |
| OHCP | ALL PRODUCTS | $8,505.49 | ↓ -25% |
| OMAS | ALL PRODUCTS | $8,750.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $8,750.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $9,450.54 | ↓ -17% |
| ANTHEM | TRADITIONAL | $9,678.05 | ↓ -15% |
| GMS | ALL PRODUCTS | $12,250.70 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $12,250.70 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $13,125.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $13,125.75 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $14,700.84 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $15,750.90 | ↑ +38% |
| FrontPath | TRANSPLANT | $15,750.90 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $15,750.90 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $15,750.90 | ↑ +38% |
| AETNA | Qhp/Ipf | $17,501.00 | ↑ +54% |
| The Health Plan | HMO | $17,501.00 | ↑ +54% |
| The Health Plan | POS | $17,501.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| CARESOURCE | Managed Medicaid | not published by hospital | — |
| ANTHEM | Managed Medicaid | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | Managed Medicaid | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Ercp remove duct calculi 43264 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $16,301.72 | $3,757.24 – $3,832.38 |
| Anderson Hospital | Cincinnati | $15,465.46 | $3,757.24 – $3,832.38 |
| Clermont Hospital | Batavia | $18,829.05 | $3,757.24 – $3,757.24 |
| Kings Mills Hospital | Mason | $20,278.09 | $3,757.24 – $3,757.24 |
| Mercy West Hospital | Cincinnati | $22,602.56 | $3,822.46 – $3,898.91 |
| St Ritas Medical Center | Lima | $17,897.39 | $3,822.46 – $3,822.46 |
| cleveland clinic main campus | Cleveland | $11,375.65 | $1.10 – $15,750.90 |
| akron general | Akron | $1,896.05 | $1.10 – $3,796.53 |